,,ii ,calendar ,no4 #dii #aahth         
,,congress  #b;d ,session  ,s4 #djce    
,report ,no4 #aah-bbj ,,in ,,the        
,,senate ,,of ,,the ,,united ,,states   
,march #ba1 #bjbd,mr4 ,scott of ,florida
 7for himself and ,mr4 ,carper7         
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,homeland ,security and   
,governmental ,affairs  ,september #aj1 
#bjbd,reported by ,mr4 ,peters1 with an 
amendment,strike out all after the      
enacting clause and insert the part     
printed in italic  ,a ,,bill  ,to       
require the ,director of the ,office of 
,personnel ,management to take certain  
actions with respect to the health      
insurance program carried out under     
chapter #hi of title #e1 ,united ,states
 ,code1 and for other purposes4  #a4    
,short title ,this ,act may be cited as 
the ,,fehb ,protection ,act4  #b4 ,,fehb
 improvements  7a7 ,definitions ,in this
 section3 7#a7 ,director ,the term      
,director means the ,director of the    

,office of ,personnel ,management4  7#b7
 ,employing office ,the term employing  
office has the meaning given the term in
 section #hij4aja7;a7 of title #e1 ,code
 of ,federal ,regulations1 or any       
successor regulation4  7#c7 ,health     
benefits plan2 member of family ,the    
terms health benefits plan and member of
 family have the meanings given those   
terms in section #hija of title #e1     
,united ,states ,code4  7#d7 ,open      
season ,the term open season means an   
open season described in section        
#hij4cja7;f7 of title #e1 ,code of      
,federal ,regulations1 or any successor 
regulation4  7#e7 ,program ,the term    
,program means the health insurance     
program carried out under chapter #hi of
 title #e1 ,united ,states ,code1       
including the program carried out under 
section #hijc;c of that title4  7#f7    
,qualifying life event ,the term        
qualifying life event has the meaning   
given the term in section #hib4aja of   
title #e1 ,code of ,federal             

,regulations1 or any successor          
regulation4  7b7 ,verification          
requirements ,beginning on the date that
 is #ahj days after the date of         
enactment of this ,act1 the ,director   
shall require each employing office to  
verify-- 7#a7 the veracity of any       
qualifying life event through which an  
enrollee in the ,program seeks to add a 
member of family with respect to the    
enrollee to a health benefits plan under
 the ,program2 and  7#b7 that1 when an  
enrollee in the ,program seeks to add a 
member of family with respect to the    
enrollee to the health benefits plan of 
the enrollee under the ,program during  
any open season1 the individual so added
 is actually a member of family with    
respect to the enrollee4  7c7 ,fraud    
risk assessment ,in any fraud risk      
assessment conducted with respect to the
 ,program on or after the date of       
enactment of this ,act1 the ,director   
shall include an assessment of          
individuals who are enrolled in1 or     

covered under1 a health benefits plan   
under the ,program even though those    
individuals are not eligible to be so   
enrolled or covered4  7d7 ,family member
 eligibility verification audit  7#a7   
,in general ,during the #e-year period  
beginning on the date of enactment of   
this ,act1 the ,director shall conduct a
 comprehensive audit regarding members  
of family-- 7,a7 who are covered under  
an enrollment in a health benefits plan 
under the ,program2 and  7,b7 with      
respect to whom the basis for the       
eligibility for the coverage described  
in subparagraph 7,a7 has not been       
verified4  7#b7 ,contents ,in conducting
 the audit required under paragraph     
7#a71 the ,director shall review        
marriage certificates1 birth            
certificates1 and other appropriate     
documents that are necessary to         
determine eligibility to enroll in a    
health benefits plan under the ,program4
  7e7 ,disenrollment or removal         
,beginning on the date of enactment of  

this ,act1 the ,director may disenroll  
or remove from enrollment any individual
 enrolled in1 or covered under1 a health
 benefits plan under the ,program if the
 ,director determines that such         
individual is not eligible to be so     
enrolled or covered4  #a4 ,short title  
,this ,act may be cited as the ,,fehb   
,protection ,act4  #b4 ,,fehb           
improvements  7a7 ,definitions ,in this 
section3 7#a7 ,appropriate committees of
 ,congress ,the term appropriate        
committees of ,congress means-- 7,a7 the
 ,committee on ,homeland ,security and  
,governmental ,affairs of the ,senate2  
7,b7 the ,committee on ,appropriations  
of the ,senate2  7,c7 the ,committee on 
,oversight and ,accountability of the   
,house of ,representatives2 and  7,d7   
the ,committee on ,appropriations of the
 ,house of ,representatives4  7#b7      
,director ,the term ,director means the 
,director of the ,office of ,personnel  
,management4  7#c7 ,employing office    
,the term employing office has the      

meaning given the term in section       
#hij4aja7;a7 of title #e1 ,code of      
,federal ,regulations1 or any successor 
regulation4  7#d7 ,health benefits plan2
 member of family ,the terms health     
benefits plan and member of family have 
the meanings given those terms in       
section #hija of title #e1 ,united      
,states ,code4  7#e7 ,open season ,the  
term open season means an open season   
described in section #hij4cja7;f7 of    
title #e1 ,code of ,federal             
,regulations1 or any successor          
regulation4  7#f7 ,program ,the term    
,program means the health insurance     
program carried out under chapter #hi of
 title #e1 ,united ,states ,code1       
including the program carried out under 
section #hijc;c of that title4  7#g7    
,qualifying life event ,the term        
qualifying life event has the meaning   
given the term in section #hib4aja of   
title #e1 ,code of ,federal             
,regulations1 or any successor          
regulation4  7b7 ,verification          

requirements ,not later than #a year    
after the date of enactment of this     
,act1 the ,director shall issue         
regulations and implement a process to  
require each employing office to        
verify-- 7#a7 the veracity of any       
qualifying life event through which an  
enrollee in the ,program seeks to add a 
member of family with respect to the    
enrollee to a health benefits plan under
 the ,program2 and  7#b7 that1 when an  
enrollee in the ,program seeks to add a 
member of family with respect to the    
enrollee to the health benefits plan of 
the enrollee under the ,program1        
including during any open season1 the   
individual so added is actually a member
 of family with respect to the enrollee4
  7c7 ,fraud risk assessment ,in any    
fraud risk assessment conducted with    
respect to the ,program on or after the 
date of enactment of this ,act1 the     
,director shall include an assessment of
 individuals who are enrolled in1 or    
covered under1 a health benefits plan   

under the ,program even though those    
individuals are not eligible to be so   
enrolled or covered4  7d7 ,family member
 eligibility verification audit  7#a7   
,in general ,during the #c-year period  
beginning on the date that is #a year   
after the date of enactment of this     
,act1 the ,director1 in coordination    
with the head of each employing office1 
shall conduct a comprehensive audit     
regarding members of family who are     
enrolled in1 or covered under1 a health 
benefits plan under the ,program4  7#b7 
,contents ,in conducting the audit      
required under paragraph 7#a71 the      
,director1 in coordination with the head
 of each employing office1 shall review 
marriage certificates1 birth            
certificates1 and other appropriate     
documents that are necessary to         
determine eligibility to enroll in1 or  
be covered under1 a health benefits plan
 under the ,program4  7#c7 ,reports     
7,a7 ,in general ,not later than #ahj   
days after the date on which the #c-year

 period described in paragraph 7#a7     
begins1 and once every #ahj days        
thereafter until the end of that #c-year
 period1 the ,director shall submit to  
the appropriate committees of ,congress 
a report regarding the status of the    
audit required under that paragraph4    
7,b7 ,contents ,each report required    
under subparagraph 7,a7 shall include1  
for the period covered by the report--  
7i7 the number of members of family who 
were reviewed under the audit conducted 
under paragraph 7#a71 including the     
number of those individuals found during
 the audit to be ineligible to be       
enrolled in1 or covered under1 a health 
benefits plan under the ,program2  7ii7 
the number of members of family who     
disenrolled from a health benefits plan1
 and the number of members of family who
 reduced the amount of coverage under a 
health benefits plan1 under the ,program
 before the end of a coverage year2 and 
7iii7 any other information that the    
,director determines to be relevant4    

7e7 ,disenrollment or removal ,not later
 than #ahj days after the date of       
enactment of this ,act1 the ,director   
shall develop a process through which   
any individual enrolled in1 or covered  
under1 a health benefits plan under the 
,program who is not eligible to be so   
enrolled or covered shall be disenrolled
 or removed from enrollment with respect
 to that health benefits plan4          
,september #aj1 #bjbd,reported with an  
amendment